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NPI Code Detail

MEDICARE: KAYLEN RHEA FLETCHER OTR/L

MEDICARE:   KAYLEN RHEA FLETCHER  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist17-04179KS
2225X00000XOccupational Therapist5250TN

General Provider Information

NPI Number : 1467837666
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLEN RHEA FLETCHER OTR/L
Provider Business Mailing Address
First Line : 18039 37TH ST
Second Line :
City : MC LOUTH
State : KS
Zip : 66054-4148
Country : US
Telephone Number : 423-310-9041
Fax Number :
Provider Business Practice Location Address
First Line : 301 WOLVERINE TRL
Second Line : SUITE 201
City : SMYRNA
State : TN
Zip : 37167-5656
Country : US
Telephone Number : 615-220-5796
Fax Number : 615-220-8829
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2015
Last Update Date : 03/11/2026

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Directions to “ KAYLEN RHEA FLETCHER OTR/L” Practice Location

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